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The Manitoba government’s Speech from the Throne laid out its agenda for the year ahead, and it was ​“dominated by health care promises,” according to the Free Press headline. 

  • Doctors Manitoba President Dr. Nichelle Desilets was at the legislature to hear the speech and react on behalf of physicians. 

Promising Promises: The government’s agenda does include some potentially positive advancements for physicians and their patients: 

  • Eliminating sick notes to reduce administrative burden for physicians (link to article). 
  • Digital versions of Manitoba Health cards to be available on smartphones. 
  • More institutional safety officers to improve hospital safety. 
  • MRI technologist training expansion could help reduce wait times. 
  • More paramedic training seats, including advanced care paramedics for rural areas. 
  • Additional lactation consultants. 
  • Birthing services returning to Norway House. 

Yes, but: Several other commitments raised concerns because they lacked detail and were announced without physician consultation: 

  • Expanded retail pharmacist prescribing for contraception and ​“common ailments,” with messaging that patients could ​“skip the doctor’s office.” Physicians flagged this as dismissive and, more importantly, risky for fragmentation and missed diagnoses. 
  • A new patient portal for lab results and immunizations — long overdue, but with few details on timelines, scope, or integration. 
  • A patient safety charter, plus plans to end mandatory nurse overtime and legislate staffing ratios — again, without clarity on implementation. 

💬 Physician engagement critical: In her response, Dr. Desilets stressed how important it is for the health system to consult physicians as changes are planned and implemented. 

  • “As a doctor who works in a small town, I’m very sensitive to new rules that can actually compromise keeping our hospital open and keeping those services available,” Dr. Desilets explained to reporters. ​“I think a measured, balanced approach with gradual implementation and proper consultation is the way to go.” 
  • On the proposed for-profit retail pharmacist changes, the government did say it would bring doctors and pharmacists together ​“to ensure the best quality of care for patients.” Doctors Manitoba will ensure physicians are consulted and press for changes based on your feedback. 

👀 What about team-based care: The government has still not unveiled how it will move forward with an election promise it made based on our recommendation to add 250 team-based providers to both specialist and family physician practices. We continue to press for action on this at every step. 

Bottom line: While some encouraging ideas are on the table, details and genuine physician engagement will determine whether these commitments strengthen care or strain it. 

Tell us what you think: practiceadvice@​doctorsmanitoba.​ca

You can read or watch the full throne speech here.